Search › Illinois › 111N00000X
Robert Peck, DC
NPI 1710009964 · on the registry since 2007
Practice
- Address
- 678 N Northwest Hwy
Unit C
Park Ridge, IL 60068 - Phone
- (847) 696-0040
- Fax
- (847) 696-2519
- Organisation at this address
- Supreme Wellness Aesthetics & Recovery Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois